Routine inspection·August 19, 2022

On 8/19/2022 at 09:30AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Lead, Paul Rivera explained the purpose of the visit. LPA spoke with Administrator, Banaag Yamsun, and was given approval for Lead to sign documents. Upon entry, LPA's temperature was not checked. LPA observed screening station and COVID-19 signs were posted on the front door. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, back yard, kitchen, and garage. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at hand washing stations. Hot water temperature in the shared residents' bathroom was measured at 97.6 degrees Fahrenheit. Fire extinguisher last serviced on 10/1/2021. There is a minimum of 7-day non-perishables and 2-day perishables foods. During record review, LPA observed temperature and sign-in log for visitors. LPA observed facility has a copy of Infection Control Plan on file. LPA observed PPE, food, and paper supplies are sufficient. Continued on LIC809C. Continued from LIC809. LPA request the following documents to be submitted to CCLD by 8/26/2022. Copy of Administrator certificate. LIC500 Personnel Report LIC308 Designation of Administrative Responsibility LIC610E Emergency Disaster Plan The following deficiency was observed: -At 10:00AM, LPA observed 2 chairs, a wheelchair, plywood, a shelf, wood pieces and a box on right side of house blocking passageway. The following deficiency was observed (see LIC809D) and cited from the California Code of Regulations. Failure to correct deficiency by POC date may result in additional Civil Penalties Exit interview conducted. A copy of this report and appeal rights provided.